National Provider Identifier [NPI]: |
1649278516 |
Last Name Of The Provider |
BHAN |
First Name Of The Provider |
RAAKESH |
Middle Initial Of The Provider |
C |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
363 FREMONT ST STE 100 |
Street Address 2 Of The Provider |
|
City Of The Provider |
BATTLE CREEK |
Zip Code Of The Provider |
490173395 |
State Code Of The Provider |
MI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
40 |
Number Of Services |
5400 |
Number Of Medicare Beneficiaries |
771 |
Total Submitted Charge Amount |
1233484 |
Total Medicare Allowed Amount |
641005.53 |
Total Medicare Payment Amount |
488194.54 |
Total Medicare Standardized Payment Amount |
502227.12 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
48 |
Number Of Medicare Beneficiaries With Drug Services |
40 |
Total Drug Submitted ChargeAmount |
1408 |
Total Drug Medicare AllowedAmount |
603.08 |
Total Drug Medicare PaymentAmount |
584.33 |
Total Drug Medicare Standardized Payment Amount |
584.33 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
36 |
Number Of Medical Services |
5352 |
Number Of Medicare Beneficiaries With Medical Services |
771 |
Total Medical Submitted Charge Amount |
1232076 |
Total Medical Medicare Allowed Amount |
640402.45 |
Total Medical Medicare Payment Amount |
487610.21 |
Total Medical Medicare Standardized Payment Amount |
501642.79 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
110 |
Number Of Beneficiaries Age 65 to 74 |
197 |
Number Of Beneficiaries Age 75 to 84 |
221 |
Number Of Beneficiaries Age Greater 84 |
243 |
Number Of Female Beneficiaries |
493 |
Number Of Male Beneficiaries |
278 |
Number Of Non Hispanic White Beneficiaries |
619 |
Number Of Black or African American Beneficiaries |
127 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
13 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
356 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
415 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
51 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
46 |
Percent Of With Chronic Kidney Disease |
53 |
Percent Of With Chronic Obstructive Pulmonary Disease |
42 |
Percent Of With Depression |
47 |
Percent Of With Diabetes |
46 |
Percent Of With Hyperlipidemia |
55 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
58 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
65 |
Percent Of With Schizophrenia Other PsychoticDisorders |
19 |
Percent Of With Stroke |
15 |
Average HCC Risk Score Of Beneficiaries |
2.2803 |